Evidence map›Paper›PMID 33317471›Full record

ArticleBMC pregnancy and childbirth2020

Maternal postpartum feeding anxiety was associated with infant feeding practices: results from the mother-infant cohort study of China.

Jing Sun, Yimin Zhu, Yongjin Li, Niuniu Li, Tan Liu, Xiao Su, Zhiyong Dai, Yanchun Zhang, Lina Pan, Wei Jiang and 1 more

Abstract readMulticenter Study
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Anxiety and its influence on maternal breastfeeding self-efficacy.Revista latino-americana de enfermagem · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jing SunDepartment of Nutrition and Food Hygiene, Peking University School of Public Health; National Health Commission Key Laboratory of Reproductive Health, Beijing, 100191, China.
Yimin ZhuShijingshan District Center for Diseases Prevention and Control, Beijing, 100043, China.
Yongjin LiShunyi District Center for Diseases Prevention and Control, Beijing, 101300, China.
Niuniu LiDepartment of Nutrition and Food Hygiene, Peking University School of Public Health; National Health Commission Key Laboratory of Reproductive Health, Beijing, 100191, China.
Tan LiuDepartment of Nutrition and Food Hygiene, Peking University School of Public Health; National Health Commission Key Laboratory of Reproductive Health, Beijing, 100191, China.
Xiao SuDepartment of Nutrition and Food Hygiene, Peking University School of Public Health; National Health Commission Key Laboratory of Reproductive Health, Beijing, 100191, China.
Zhiyong DaiPeking-Ausnutria Maternal and Infant Nutrition Research Center, Beijing, 100191, China.
Yanchun ZhangPeking-Ausnutria Maternal and Infant Nutrition Research Center, Beijing, 100191, China.
Lina PanPeking-Ausnutria Maternal and Infant Nutrition Research Center, Beijing, 100191, China.
Wei JiangPeking-Ausnutria Maternal and Infant Nutrition Research Center, Beijing, 100191, China.
Wenli ZhuDepartment of Nutrition and Food Hygiene, Peking University School of Public Health; National Health Commission Key Laboratory of Reproductive Health, Beijing, 100191, China. zhuwenli@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal feeding anxiety (FA) was prevalent during puerperium and might affect infant feeding practices. This study was aimed to investigate the FA status in Chinese postpartum women and its relationship with infant feeding practices (FPs).

methodsParticipants were from the Mother-Infant Cohort Study of China, in which the dietary and feeding practices, physical and psychiatric health for both mothers and infants were followed up from childbirth to next 2 years. In this study the maternal feeding anxiety (FA) status at 0-3 months postpartum was assessed by Li's Self-rating Feeding Anxiety Scale (SFAS). Infant feeding practices (FPs) at 0-3 months, including breastfeeding-related behaviors, responsive feeding and infant food refusal were investigated by self-designed questionnaire.

resultsIn total 456 mothers the average feeding anxiety scores (FAS) was 41.02 ± 8.02 (mean ± SD), and maternal FA prevalence were 61.4% (FAS>38) with severe FA being 8.6% (FAS>52) at 0-3 months postpartum. The FAS was related with infant FPs, and lower maternal FAS was significantly related with infant colostrum feeding (40.86 ± 8.02 vs 44.74 ± 11.33, P < 0.05), but higher FAS was related with bottle feeding (41.95 ± 8.28 vs 39.69 ± 7.92, P < 0.05). The mothers with severe feeding anxiety (FAS > 53) were more likely to feed infants with bottle (ORs, 95%CI: 2.41, 1.11 ~ 5.19). There were not significant association between FAS and exclusive breastfeeding and responsive feeding practices (P > 0.05). The higher FAS was associated with infant food refusal behaviors, the maternal scores whose infant "never", "rarely", "sometimes" and "often" spat out food when feeding were 39.86 ± 8.02, 41.47 ± 8.18, 41.36 ± 7.44 and 42.14 ± 12.03 increasingly (P > 0.05), and the FA prevalence was significantly different among groups (P < 0.05). The infants whose mother was identified as feeding anxiety were more likely to refuse opening the mouth when feeding (P < 0.05). Multivariate analysis indicated maternal FAS was positively related to infant bottle feeding (βi = 2.487, P < 0.05) and outdoor sunshine exposure practice (βi = 1.787, P < 0.05), and negatively related to household income level (βi = - 0.118, P < 0.05).

conclusionsMaternal postpartum feeding anxiety was associated with some infant feeding practices, including bottle feeding and infant food refusal behaviors.

Indexed as

AdultAnxietyAttitude to HealthBottle FeedingBreast FeedingCohort StudiesFeeding BehaviorFemaleHumansInfantInfant, NewbornMothersPostpartum PeriodPrevalenceSurveys and QuestionnairesBreastfeedingInfant feeding practicesMaternalPostpartum feeding anxiety

Identifiers

PMID33317471
PMCPMC7737271

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.